The objective of this study was to determine whether the microvascular resp
onses to ischemia and reperfusion (I/R) are altered in an animal model of a
therosclerosis, the low-density lipoprotein-receptor knockout (LDLr -/-) mo
use. Intravital video microscopy was used to monitor venular wall shear rat
e, leukocytes rolling velocity, the number of rolling, adherent and emigrat
ed leukocytes, and albumin leakage in cremasteric postcapillary venules of
wild-type (B6129) and LDLr -/- mice exposed to 60 min of ischemia and 60 mi
n of reperfusion. The postcapillary venules of LDLr -/- mice exhibited two-
to threefold larger increments in the number of adherent leukocytes and a
more profound albumin leakage response to I/R than venules in wild-type mic
e. The exaggerated inflammatory responses noted in LDLr -/- mice placed on
a normal diet were not exacerbated by a high-cholesterol diet. Treatment of
LDLr -/- mice with either a platelet-activating factor (PAF) receptor anta
gonist (WEB-2086) or a monoclonal antibody (YN-1) against the endothelial c
ell adhesion molecule, intercellular adhesion molecule 1 (ICAM-1), markedly
attenuated the I/R-induced leukocyte adherence and albumin leakage. These
findings indicate that atherogenic mice are more vulnerable to the deleteri
ous microvascular effects of I/R and that PAF-mediated, ICAM-1-dependent le
ukocyte adhesion contributes to this exaggerated response to I/R.